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Individual

DR. KENNETH L HERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
17 W RED BANK AVE, SUITE 205, WOODBURY, NJ 08096-1630
(856) 853-0900
(856) 853-5838
Mailing address
17 W RED BANK AVE, SUITE 205, WOODBURY, NJ 08096-1630
(856) 853-0900
(856) 853-5838

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MB0479100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0693784000
AMERIHEALTH
NJ
01
24034
AETNA US HEALTHCARE
NJ
01
751636
BLUE SHIELD
NJ
01
8107509004
CIGNA
NJ
Enumeration date
11/09/2005
Last updated
07/11/2013
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